Chen Enyi, Barile Berardino, Durand-Dubief Françoise, Grenier Thomas, Sappey-Marinier Dominique
CREATIS, CNRS UMR 5220, INSERM U1294, Université de Lyon, Université Claude Bernard-Lyon 1, INSA Lyon, Lyon, France.
Service de Sclérose en Plaques, des Pathologies de la Myéline et Neuro-Inflammation, Groupement Hospitalier Est, Hôpital Neurologique, Bron, France.
Front Neurosci. 2024 Jan 18;17:1268860. doi: 10.3389/fnins.2023.1268860. eCollection 2023.
Multiple Sclerosis (MS) is an autoimmune disease that combines chronic inflammatory and neurodegenerative processes underlying different clinical forms of evolution, such as relapsing-remitting, secondary progressive, or primary progressive MS. This identification is usually performed by clinical evaluation at the diagnosis or during the course of the disease for the secondary progressive phase. In parallel, magnetic resonance imaging (MRI) analysis is a mandatory diagnostic complement. Identifying the clinical form from MR images is therefore a helpful and challenging task. Here, we propose a new approach for the automatic classification of MS forms based on conventional MRI (i.e., T1-weighted images) that are commonly used in clinical context. For this purpose, we investigated the morphological connectome features using graph based convolutional neural network. Our results obtained from the longitudinal study of 91 MS patients highlight the performance (F1-score) of this approach that is better than state-of-the-art as 3D convolutional neural networks. These results open the way for clinical applications such as disability correlation only using T1-weighted images.
多发性硬化症(MS)是一种自身免疫性疾病,它结合了慢性炎症和神经退行性变过程,这些过程是不同临床演变形式(如复发缓解型、继发进展型或原发进展型MS)的基础。这种识别通常在诊断时或疾病过程中针对继发进展期进行临床评估来完成。同时,磁共振成像(MRI)分析是必不可少的诊断补充手段。因此,从MR图像中识别临床形式是一项有益且具有挑战性的任务。在此,我们提出一种基于临床常用的传统MRI(即T1加权图像)对MS形式进行自动分类的新方法。为此,我们使用基于图的卷积神经网络研究了形态连接组特征。我们对91例MS患者进行纵向研究所得的结果突出了该方法的性能(F1分数),其优于作为最先进技术的3D卷积神经网络。这些结果为仅使用T1加权图像进行残疾相关性等临床应用开辟了道路。